CMS Price Transparency Data

Breast lump removal

Facility: Samaritan Pacific Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$668
about 0.2× the $4,000 Medicare rate · typically $520–$1,285
modeled estimate · not a bill or quote
What this hospital charges insurers
$624
About the fair price
about $44 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $668 This hospital $624 Cash price $748 Hospital's list price $936

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 4 of 8 other OR hospitals charge more for the same procedure.

Cheapest $492 Priciest $1,166

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $668 (about 0.2× the $4,000 Medicare rate). Samaritan Pacific Community Hospital charges insurers about $624, or about $748 in cash — about the fair price. Located in Newport, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $113 - $1,638 3%
Aetnamajor $296 - $1,141 7%
Cignamajor $303 - $988 8%
Humanamajor $104 - $587 3%
Devoted Health $118 - $563 3%
Health Net $303 - $1,032 8%
Moda Health $296 - $1,247 7%
PacificSource $115 - $1,135 3%
+ 4 smaller / regional plans $103 - $1,247

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Facility Profile & Credentials

  • Address: 930 Sw Abbey Street, Newport, OR 97365
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals